Revenue Analyst III : Finance

Revenue Analyst III :
Finance - Full Time - 08HR - Redhill Business Center

Join to apply for the Revenue Analyst III :
Finance - Full Time - 08HR - Redhill Business Center role at Hoag Health System

Primary Duties and Responsibilities
The Revenue Analyst III is a technical expert with strong analytical experience in a healthcare environment with emphasis in managed care and government reimbursement. This role serves as a financial resource for both clinical and administrative areas and will act as a lead analyst on projects.

Job Description
The Revenue Analyst III is a technical expert with strong analytical experience in a healthcare environment with emphasis in managed care and government reimbursement. This role serves as a financial resource for both clinical and administrative areas and will act as a lead analyst on projects.

As part of the Finance Revenue team, this position will support Managed Care Contracting for contract modeling and revenue impact analysis in support of negotiations, helping to identify underpayments, and tracking profitability within our managed care contracts.

Will also prepare analyses related to the financial impact of Medicare and Medi-Cal changes in reimbursement to identify financial and or operational impacts to revenue.

Will support the annual build of the Hoag operating budget, touching across multiple entities with regards to volume and revenue projection.

Responsible for a designated Hoag entity to analyze and present monthly performance to executive leadership as it relates to volume, revenue, payor mix and case mix, as well as perform the month end contractual reserve calculation for Accounting.

Additionally, the Revenue Analyst III will support Accounting’s management team for cost report preparation, OSHPD reporting, Bond/Rating Agency reporting, as well as year-end and interim audit.

Provides support for all levels of leadership with requested ad-hoc revenue impact analysis related to items such as payer mix, acuity, reimbursement, and volume.

Own and maintain specific recurring reporting related to volume and revenue performance.

Performs other duties as assigned.

Qualifications
Education and Experience

• Bachelor’s degree in business administration, finance, accounting, or healthcare administration.
• 5+ years’ experience as an analyst in a healthcare environment with emphasis on managed care reporting and reimbursement
• General understanding of DRG and CPT/HCPC Medical Coding and Medical Terminology. Strong understanding of Managed Care and Government reimbursement methodologies
• General knowledge of hospital operations (Revenue Cycle: Registration, Patient Accounting/Billing, data processing).
• Understanding of Accounting Principles and Hospital Financial Reporting.

About Us
Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment.